Asked by Ashlee Watson on Sep 23, 2024

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A patient at the emergency department is diagnosed with a concussion. The patient is accompanied by a spouse who insists on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders. Assessment of which additional problem has priority?

A) Risk of intimate partner violence
B) Phobia of crowded places
C) Migraine headaches
D) Depressive symptoms

Intimate Partner Violence

Abuse or aggression that occurs in a romantic relationship, encompassing physical, sexual, emotional, and financial abuse.

Depressive Symptoms

A range of behaviors and experiences including persistent sadness, lack of energy, feelings of hopelessness, and difficulties with concentration that are typical of the clinical condition known as depression.

Sad Affect

A visible expression of sorrow or unhappiness, often noted as a clinical symptom in psychological assessment.

  • Evaluate indicators of physical maltreatment in both adults and children, and sequence the interventions accordingly.
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Lalit Maharaj7 days ago
Final Answer :
A
Explanation :
The diagnosis of a concussion suggests violence as a possible cause. The patient is exhibiting indicators of abuse including fearfulness, depressed affect, poor eye contact, and a possessive spouse. The patient may be also experiencing depression, anxiety, and migraine headaches, but the nurse's advocacy role necessitates an assessment for intimate partner violence.